Wheelchair seat cushion, 22 inches wide or wider at Fairview Maple Grove Surgery Center

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Gen w/c cushion wdth >=22 in

Maple Grove, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $107 is 3% above the median hospital's median price ($103), higher than 62% of the 608 hospitals reporting HCPCS E2602. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E2602 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield medicaid fee schedule · both	$58	$58	$48	82%	—	$11 – $106
2	Ucare mhcp fee schedule · both	$60	$60	$49	82%	—	$11 – $109
3	Blue Cross Blue Shield commercial fee schedule · both	$64	$64	$53	82%	—	$12 – $117
4	Blue Cross Blue Shield federal fee schedule · both	$64	$64	$53	82%	—	$12 – $117
5	Medica ma non-snp fee schedule · both	$107	$75	$45	61%	—	$11 – $107
6	Medica ma snp fee schedule · both	$107	$75	$45	61%	—	$11 – $107
7	Medica prime solution fee schedule · both	$107	$75	$45	61%	—	$11 – $107
8	Medica vantage fee schedule · both	$107	$75	$45	61%	—	$11 – $107
9	Cigna commercial fee schedule · both	$98	$81	$50	62%	—	$12 – $142
10	Medica accessability fee schedule · both	$98	$98	—	—	—	$98 – $98
11	Medica medicaid fee schedule · both	$98	$98	—	—	—	$98 – $98
12	Blue Cross Blue Shield federal fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
13	Blue Cross Blue Shield commercial fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
14	Blue Cross Blue Shield medicaid fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
15	Medica bold fee schedule · both	$184	$129	$78	61%	—	$18 – $184
16	Ucare ifp with fairview fee schedule · outpatient	$156	$133	$86	65%	—	$18 – $253
17	Medica choice without / elect fee schedule · both	$204	$143	$87	61%	—	$20 – $204
18	Medica city of st paul / essential uplan fee schedule · both	$204	$143	$87	61%	—	$20 – $204
19	Medica choice with fee schedule · both	$212	$148	$90	61%	—	$21 – $212
20	UnitedHealthcare commercial fee schedule · both	$195	$159	$82	52%	—	$22 – $223
21	Ucare ifp fee schedule · outpatient	$208	$177	$115	65%	—	$24 – $337
22	Cigna commercial fee schedule · outpatient	$275	$275	$24	9%	—	$251 – $299

Last updated: May 18, 2026

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